Organization
MD WELLNESS CENTERS SCOTTSDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS SOUTHWORTH (MANAGER/OWNER)
(801) 535-4677
Entity
Organization
Contact information
Practice address
7555 E OSBORN RD, STE 200, SCOTTSDALE, AZ 85251-6434
(480) 436-5151
(480) 436-5153
Mailing address
299 S MAIN ST, STE 1300, SALT LAKE CITY, UT 84111-1919
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/13/2015
Last updated
10/15/2015
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